Are Antibiotics Beneficial in Children with Acute Sinusitis?
SUMMARY AND COMMENT
August 14, 2009
Daniel J. Pallin, MD, MPH
Amoxicillin with clavulanic acid was associated with a significantly higher cure rate than placebo in children who met this study's narrow definition of acute bacterial sinusitis.
Reviewing:
Wald ER et al., Pediatrics 2009 Jul; 124:9
Weekly E-Mails Improve Pneumonia Guideline Compliance
SUMMARY AND COMMENT
Time to administration of antibiotics decreased significantly after ED staff received weekly e-mails listing individual practitioners' compliance with the CMS pneumonia guideline.
Reviewing:
Weiner SG et al., Acad Emerg Med 2009 Jul; 16:626
Manual In-Line Stabilization Is Not Helpful in Cadavers with Unstable C-Spines
SUMMARY AND COMMENT
Movement of the unstable C-spine during intubation was similar with and without use of this currently recommended technique.
Reviewing:
Turner CR et al., J Trauma 2009 Jul; 67:61
Is Chest CT Overused in Children After Blunt Trauma?
SUMMARY AND COMMENT
Neither chest x-rays nor CT scout films missed findings in patients who needed immediate surgery.
Reviewing:
Markel TA et al., J Trauma 2009 Jul; 67:23
Ketamine Is Safe in Children with Elevated Intracranial Pressure
SUMMARY AND COMMENT
August 7, 2009
Daniel J. Pallin, MD, MPH
Ketamine decreased intracranial pressure and increased cerebral perfusion pressure in intubated children with intracranial hypertension.
Reviewing:
Bar-Joseph G et al., J Neurosurg Pediatr 2009 Jul; 4:40
Optimal Depth of Chest Compressions in Children
SUMMARY AND COMMENT
August 7, 2009
Daniel J. Pallin, MD, MPH
Following the American Heart Association recommendation for compression to a depth of one third to one half of chest thickness could lead to overcompression in children.
Reviewing:
Braga MS et al., Pediatrics 2009 Jul; 124:e69
Manual C-Spine Stabilization and Difficult Intubation
SUMMARY AND COMMENT
C-spine stabilization makes intubation more difficult in patients undergoing elective anesthesia.
Reviewing:
Thiboutot F et al., Can J Anaesth 2009 Jun; 56:412
Outpatient Treatment of Infants with Febrile UTI
SUMMARY AND COMMENT
August 7, 2009
Daniel J. Pallin, MD, MPH
Outpatient treatment with IV gentamicin followed by oral antibiotics was safe and effective in well-appearing 30- to 90-day-old infants with febrile UTI.
Reviewing:
Doré-Bergeron M-J et al., Pediatrics 2009 Jul; 124:16
Antibiotic Use in Children with Otitis Media Increases Risk for Recurrence
SUMMARY AND COMMENT
Another reason to wait and see
Reviewing:
Bezáková N et al., BMJ 2009 Jun 30; 338:b2525
Airtraq Causes Less C-Spine Movement Than Macintosh Laryngoscope
SUMMARY AND COMMENT
Airtraq intubation reduced C-spine movement by more than 50% at 3 of 4 levels studied.
Reviewing:
Turkstra TP et al., Anesthesiology 2009 Jul; 111:97
